<div id='edit_group_dialog' style='display:none;' class='form_container'>
	<div class='form-container'>
		<form>
			<fieldset>
				<table>
					<tr>
						<td colspan='2'>
							<span id='service_name_span' class='remark'></span>
							<input type='hidden' id='service_id' />
						</td>
					</tr>
					<tr>
						<td class='label' style='width:200px'>{translate}Surgery catergory{/translate}</td>
						<td class='input'>
						{foreach item=catergory from=$superGroups}
							<input type='radio' name='group' value='{$catergory.group_id}' id='{$catergory.group_id}_radio'
							onclick="javascrip:changeSurgeryGroup({$catergory.group_id},'_elem_div','elem_group_filter','group_id')" />
							{$catergory.group_name}
						{/foreach}
						</td>
					</tr>
					<tr>
						<td><input type='hidden' id='group_id'/></td>
						<td id='elem_group_filter' class='input' style='display:block'>
						{foreach name=outer item=subGroup from=$subGroups}
							<div id='{$subGroup.elem_div}' style='display:none'>
								<select id="{$subGroup.elem_select}" style='width:100%'>
									{foreach item=item from=$subGroup.group}
									<option value="{$item.group_id}" label="{$item.group_name}">{$item.group_name}</option>
									{/foreach}
								</select>
							</div>
						{/foreach}
						</td>
					</tr>
					<tr>
						<td class='label'>{translate}Allowance class{/translate}</td>
						<td class='input'>
							<select id='allowance_class'  style='width:120px'>{html_options options=$allowanceClass}</select>
						</td>
					</tr>
					<tr>
						<td class='label'>{translate}Allowance{/translate}</td>
						<td class='input'>
							<select id='allowance' style='width:120px'>
								<option value='X' label='{translate}No{/translate}'>{translate}No{/translate}</option>
								<option value='A' label='A'>A</option>
								<option value='B' label='B'>B</option>
								<option value='C' label='C'>C</option>
							</select>
						</td>
					</tr>
				</table>
			</fieldset>
		</form>
	</div>
</div>